Prior Authorization Specialist

Kindred Healthcare • Palestine, TX

5d

About The Position

At ScionHealth, caregivers are empowered to do their best work in a culture that values every voice, compassion, courage, curiosity, and new ideas.

The job summary describes a Registration Integrity Specialist role in an acute care environment. This specialist supports patient safety and administrative data accuracy through pre-registration, order entry, cost estimation, and initial financial counseling. The role involves direct communication with patients and clinical teams to verify demographic and insurance information, identify and correct order errors, and support accurate, timely, and complete registration. The specialist also collaborates with revenue cycle departments, including Patient Accounting and Prior Authorization, to support a seamless patient experience.

Requirements

• At least 3 years of experience in customer service and/or revenue cycle operations, including registration, scheduling, or patient accounting.
• Strong understanding of hospital registration processes, insurance requirements, and patient financial counseling.
• Working knowledge of hospital billing principles and ability to interpret insurance explanation of benefits (EOBs).
• Competency in scheduling procedures and working with diagnostic and procedural coding.
• Proficiency in data entry and keyboarding.
• Excellent critical thinking, communication, and customer service skills.
• Ability to multitask in a fast-paced healthcare environment.
• Professional demeanor and ability to handle sensitive patient information with discretion.
• High school diploma or equivalent, including education equivalent to completion of secondary school or demonstrated ability to perform the essential functions of the role (preferred).
• No license or certification required at time of hire.

Nice To Haves

• Prior experience using Change Healthcare products.

Responsibilities

• Perform real-time registration and pre-registration for scheduled and unscheduled patient visits.
• Verify and update patient demographic, insurance, and financial information accurately.
• Create and deliver accurate cost estimates and basic financial counseling to patients.
• Enter, review, and correct physician orders to align with clinical documentation and enhance patient safety.
• Prepare registration and consent documentation for front-end staff, including cost estimates when applicable.
• Provide registration backup support in clinical areas as needed.
• Collaborate with revenue cycle departments to ensure smooth and efficient patient encounters.
• Use registration and order entry systems, including RapidFiler and Order Entry Desktop.
• Ensure compliance with hospital registration policies and documentation requirements.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED